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目的:通过分析和了解疤痕子宫妊娠再次分娩式选择的相关因素,选择合理的分娩方式,提高分娩成功率。方法:对我院收治的80例疤痕子宫再次妊娠产妇的分娩情况进行回顾性分析。结果:35例阴道试产产妇成功32例,成功率为91.43%,45例产妇选择剖宫产。阴道试产产后出血量、住院时间、产褥病率明显优于剖宫产组,差异有显著统计学意义,P<0.05。结论:疤痕子宫妊娠再次分娩方式选择的主要因素有社会因素、胎内窘迫、胎位不正、剖宫产绝对指征等,根据产妇具体情况选择合理的分娩方式。
OBJECTIVE: To analyze and understand the factors related to the choice of childbirth in uterine scar pregnancy and to choose a reasonable delivery method to improve the success rate of childbirth. Methods: A retrospective analysis was made on the delivery of 80 cases of uterine pregnancy again in our hospital. Results: 35 cases of vaginal trial maternal successful 32 cases, the success rate was 91.43%, 45 maternal choose cesarean section. Vaginal trial after the production of bleeding, hospital stay, the rate of puerperal was significantly better than the cesarean section, the difference was statistically significant, P <0.05. Conclusion: The main factors of choice of delivery mode for scar pregnancy are social factors, fetal distress, fetal malposition, absolute indications of cesarean section, etc. According to the specific conditions of maternal choose a reasonable mode of delivery.